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Abstrak :
Kualitas pelayanan kesehatan di suatu daerah sangat ditentukan oleh ketersediaan sumber daya khususnya sumber daya vaksin yang kuantitas dan kualitasnya memadai.Pengelolaan distribusi vaksin memerlukan manajemen rantai pasok vaksin yang baik untuk menjaga kualitas vaksin tetap terjaga karena sifat vaksin yang termolabil. Penelitian bertujuan untuk Menganalisis pengendalian suhu vaksin menggunakan Lean Six Sigma selama proses pengiriman vaksin ke Puskesmas di Kota Serang. Data yang digunakan dalam penelitian ini adalah data laporan pengendalian suhu vaksin sensitif beku ke Puskesmas di Dinas Kesehatan Kota Serang bulan januari sampai desember 2020 untuk mendapatkan data defect suhu yang tidak memenuhi syarat yang ditentukan sesuai Peraturan Menteri Kesehatan No.12 Tahun 2017 Tentang Penyelenggaraan Imunisasi  yang akan digunakan sebagai dasar perhitungan DPMO (Defect Per Million Opportunities) pada Six Sigma. Metode yang digunakan dalam penelitian ini adalah Lean Six Sigma dalam analisis proses kapabilitas pengendalian suhu distribusi vaksin sensitif beku (Freeze Sensitive Vaccine) dan menggunakan daftar pertanyaan terstruktur melalui wawancara mendalam kepada pakar/ahli yang memahami sistem distribusi vaksin sebagai langkah dalam proses brainstorming untuk menyusun saran perbaikan dalam pengendalian suhu distribusi vaksin sensitif beku ke Puskesmas di Kota Serang Provinsi Banten. Lean Six Sigma didapatkan bahwa sistem distribusi vaksin sensitif beku ke Puskesmas  di Kota Serang perlu adanya pengendalian suhu yang lebih baik agar sesuai Permenkes No.12 Tahun 2017. ......Health services quality in a region is determined by the resources especially vaccine resources sufficient quantity and quality. Vaccine distribution management requires a good vaccine supply chain management to maintain the quality of vaccine stability because the vaccine is thermolable. The research aims to control temperature vaccine using lean six sigma during the delivery of vaccine to hospitals in the city of serang. The data used in this research was data reports control of Freeze Sensitive Vaccine distribution into public health center in serang city health department in january until december 2020 to obtain defect data of inappropriate temperatures based on Minister of Health Regulation number 12 of 2017 on the implementation of immunization will be used as the basis of calculations DPMO (Defect per Million Opportunity) in six sigma. Methods used in research is lean six sigma in the analysis of the process of vaccine distribution capabilities control Freeze Sensitive Vaccine and use a structured list of questions through in-depth interviews to experts of vaccine distribution system in Health Department of Serang City as a step in the process of brainstorming to make suggestions to improve the control Freeze Sensitive Vaccine distribution to Public Health Center in the city of Serang, Banten. Lean Six Sigma knowledge that the distribution system Freeze Sensitive Vaccine to Public Health Center in the city of Serang needed to control the better to fit Minister of Health Regulation number 12 of 2017.

Abstrak :
ABSTRAK
Berdasarkan UU Nomor 44 tahun 2009 tentang Rumah Sakit Rumah Sakit didefinisikan sebagai institusi pelayanan kesehatan yang menyelenggarakan pelayanan kesehatan perorangan secara paripurna yang menyediakan pelayanan rawat inap rawat jalan dan gawat darurat Pada akhir tahun 2010 RSUP Fatmawati tercatat menjadi Rumah Sakit kelas A Pendidikan dan mendapat Akreditasi Penuh Tingkat Lengkap 16 Pelayanan Paripurna Kemudian tahun 2011 mendapat sertifikat terakreditasi ISO 9001 2008 dan OHSAS Kegiatan kegiatan yang berlangsung di RSUP Fatmawati adalah bagian Non Farmasi Klinik dan Farmasi Klinik Farmasi klinik meliputi pelayanan pengkajian resep penelusuran riwayat penggunaan obat rekonsiliasi obat pelayanan informasi obat PIO konseling visite pemantauan terapi obat PTO monitoring efek samping obat MESO evaluasi penggunaan obat EPO dispensing sediaan steril dan pemantauan kadar obat dalam darah PKOD ABSTRACT Under law No 44 of 2009 on the hospital the hospital is defined as a health care institution that organizes personal health service in plenary that provides inpatient outpatient and emergency department At the end of 2010 Fatmawati Hospital recorded into A class hospital fully accredited education and complete 16 levels of service plenary Then at 2011 certified accredited to ISO 9001 2008 and OHSAS The activities take place in a non Fatmawati Hospital is part of clinical pharmacy Pharmacy clinics include services assesment recipes and search history of drug use drug reconsiliation drug information service DIS counseling visite therapeutic drug monitoring TDM monitoring of drug side effect MDSE evaluation of the use of drug sterile dispensing preparation and monitoring of drug level in blood MDLB ;Under law No 44 of 2009 on the hospital the hospital is defined as a health care institution that organizes personal health service in plenary that provides inpatient outpatient and emergency department At the end of 2010 Fatmawati Hospital recorded into A class hospital fully accredited education and complete 16 levels of service plenary Then at 2011 certified accredited to ISO 9001 2008 and OHSAS The activities take place in a non Fatmawati Hospital is part of clinical pharmacy Pharmacy clinics include services assesment recipes and search history of drug use drug reconsiliation drug information service DIS counseling visite therapeutic drug monitoring TDM monitoring of drug side effect MDSE evaluation of the use of drug sterile dispensing preparation and monitoring of drug level in blood MDLB ;Under law No 44 of 2009 on the hospital the hospital is defined as a health care institution that organizes personal health service in plenary that provides inpatient outpatient and emergency department At the end of 2010 Fatmawati Hospital recorded into A class hospital fully accredited education and complete 16 levels of service plenary Then at 2011 certified accredited to ISO 9001 2008 and OHSAS The activities take place in a non Fatmawati Hospital is part of clinical pharmacy Pharmacy clinics include services assesment recipes and search history of drug use drug reconsiliation drug information service DIS counseling visite therapeutic drug monitoring TDM monitoring of drug side effect MDSE evaluation of the use of drug sterile dispensing preparation and monitoring of drug level in blood MDLB